K Number
K050455
Device Name
SYNTHETIC POWEDERED VINYL EXAMINATION GLOVES
Date Cleared
2005-03-29

(35 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
A patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hands or finger to prevent contamination between paties: and examiner (21CFR 880.6250)
Device Description
Patient Vinyl Examination Gloves, Powdered
More Information

Not Found

Not Found

No
The device description and intended use clearly define a standard medical examination glove, with no mention of AI/ML capabilities or related technologies.

No
Explanation: The device is a patient examination glove, intended to prevent contamination between patients and examiners, not to treat or cure a disease or condition.

No
The device, a patient examination glove, is intended to prevent contamination between patients and examiners, not to diagnose a condition.

No

The device description clearly states it is a "Patient Vinyl Examination Gloves, Powdered," which is a physical hardware product, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states the device is a "patient examination glove" worn on the hands to prevent contamination. This is a physical barrier device used during patient examination.
  • Definition of IVD: In vitro diagnostics (IVDs) are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. The device description and intended use do not involve any testing of bodily samples.
  • Lack of IVD-related information: The document does not mention any aspects related to laboratory testing, analysis of biological samples, or diagnostic purposes.

Therefore, a patient examination glove falls under the category of a medical device, but not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

A patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hands or finger to prevent contamination between patients and examiner (21CFR 880.6250)

Product codes

LYZ

Device Description

Patient Vinyl Examination Gloves, Powdered

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

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Anatomical Site

hands or finger

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.6250 Non-powdered patient examination glove.

(a)
Identification. A non-powdered patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hand or finger to prevent contamination between patient and examiner. A non-powdered patient examination glove does not incorporate powder for purposes other than manufacturing. The final finished glove includes only residual powder from manufacturing.(b)
Classification. Class I (general controls). The device, when it is a finger cot, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 880.9.

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized depiction of an eagle or bird-like figure with three curved lines representing its wings or body. The logo is encircled by the text "DEPARTMENT OF HEALTH AND HUMAN SERVICES, USA" in a circular arrangement.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Zibo Blue INTCO Plastic & Rubber Products Company Limited C/O Ms. Karen Abell Official Correspondence Basic Medical Industries, Incorporated 12390 East End Avenue Chino, California 91710

Re: K050455

Trade/Device Name: Patient Vinyl Examination Gloves, Powdered Regulation Number: 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LYZ Dated: January 15, 2005 Received: February 23, 2005

Dear Ms. Abell:

We have reviewed your Section 510(k) premarket notification of intent to market the device we have forlewed younge determined the device is substantially equivalent (for the relerenced above and nave abouting to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device mendments, or to devices that have been reclassified in accordance with the provisions of Amendments, of to do would Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general approvisions of the Act. The general controls provisions of the Act include controls provinces or annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting (1 Nr.), it may of cash be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In your device ear. or router announcements concerning your device in the Eederal Register.

MAR 2 9 2005

1

Page 2 - Ms. Abell

Please be advised that FDA's issuance of a substantial equivalence determination does not Please be advised that TDA s issualled of a backanians with other requirements mean that FDA has made a decommanent in administered by other Federal agencies. of the Act of ally rederal statutes and reguirements, including, but not limited to: registration You must comply with an the Fee s requirements (21 CFR Part 801); good manufacturing practice (200); and ifsung (21 CFK I at 607), laoolity systems (QS) regulation (21 CFR Part 820); and if requirements as set form in the quality of economy of Sections 531-542 of the Act);
applicable, the electronic product radiation control provisions (Sections 531-542 of the 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k) I his letter will anow you to begin maliering , the stantial equivalence of your device to a premarket notification. The FDF mailing on a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), If you desire specific advice for your de at (240) 276-0115. Also, please note the regulation prease contact the Other of Other promarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the may obtain other general mironmates and Consumer Assistance at its toll-free Division of Stilland of Still 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Chiu Lin, Ph.D.

Chiu Lin, Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Zibo Bluc INTCO Plastic & Rubber Products Co., Ltd. Qilu Chmical Industrial Arca Zibo, Shandong China 255414

INDICATIONS FOR USE

Zibo Blue INTCO Plastic & Rubber Products Co., LTD Applicant:

510(k) Number: K050455

Patient Vinyl Examination Gloves, Powdered Device Name:

Indications of Use:

A patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hands or finger to prevent contamination between paties: and examiner (21CFR 880.6250)

Prescription Use ________________

And/Or

Over the Counter Use _________________________________________________________________________________________________________________________________________________________

Factory Initials: _____________

Ludia H. Murphy 3/24/15

in of Anestherology, General Hospitz : Ction Control, Dental Devices

:) Number 1650453